Ascites secondary to indolent pacemaker infection in a Fontan patient.
This report describes what we believe is the 1st reported case of indolent pacemaker infection's causing abdominal ascites in a patient who has undergone a Fontan operation. Abdominal ascites in a Fontan patient is commonly due to protein-losing enteropathy, systemic venous thrombosis, myocardial dysfunction, chylous ascites, liver cirrhosis, or pancreatitis. Our patient, who had a functional single ventricle, presented with ascites 3 years after undergoing the Fontan operation and pacemaker implantation. After extensive testing and evaluation, we attributed the ascites to indolent infection of the abdominal pacemaker.
Condurache
C Tania
CT
Department of Pediatrics, University of Louisville, Louisville, KY 40202, USA.
Johnsrude
Christopher L
CL
Bryant
Kristina
K
Recto
Michael R
MR
D001201:Ascites / Q000209:etiology*; D002648:Child; D002675:Child, Preschool; D003937:Diagnosis, Differential; D005260:Female; D005500:Follow-Up Studies; D018729:Fontan Procedure; D006330:Heart Defects, Congenital / Q000601:surgery*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D010138:Pacemaker, Artificial; D011183:Postoperative Complications / Q000175:diagnosis*; D016459:Prosthesis-Related Infections / Q000175:diagnosis*; D017568:Rectus Abdominis / Q000601:surgery; D012086:Reoperation; D013203:Staphylococcal Infections / Q000175:diagnosis*; D013212:Staphylococcus epidermidis